The sternocleidomastoid, or more simply sternomastoid, muscle arises by two heads from the front of the manubrium sterni and the upper surface of the medial third of the clavicle (see figs. 6-2, 19-2, and 50-8). It ascends obliquely in the neck (figs.
Titration and maintenance dose: The dose can be doubled at interval of two to four weeks to progressively achieve target blood pressure; the maximum permitted dose of Ramipril is 10mg daily. Usually the dose is administered once daily. Starting dose: The recommended initial dose is 1.25mg of Ramipril once daily.
Read More. The maximum dose is 400mg a day, if your taking 50mg pills 4 would be 200mg, so your taking half the daily maximum. But a word of caution, this stuff can be very addictive for some people, even at low doses. Your body's become use to it, that's why you have the pain when you try to cut back.